Coverage for Neuropsychiatric Disorders Under WBHS OPD Treatment

As of now WBHS covers the following diseases under OPD treatment

List of Covered Disease Under WBHS

  1. Malignant Conditions: Notification No.: 7287-F, Date: 19.09.2008
  2. Tuberculosis: Notification No.: 7287-F, Date: 19.09.2008
  3. Hepatitis B/C and Liver Conditions: Notification No.: 7287-F, Date: 19.09.2008
  4. Type-1, Insulin-Dependent Diabetes: Notification No.: 7287-F, Date: 19.09.2008
  5. Heart Conditions: Notification No.: 7287-F, Date: 19.09.2008
  6. Neurological and Cerebrovascular Conditions: Notification No.: 7287-F, Date: 19.09.2008
  7. Malignant Malaria: Notification No.: 7287-F, Date: 19.09.2008
  8. Chronic Kidney Disease (CKD) Stage 2 & Beyond: Notification No.: 99-F(MED)WB, Date: 16.07.2024
  9. Blood Disorders (Thalassemia, Bleeding, Platelet): Notification No.: 7287-F, Date: 19.09.2008
  10. Injuries Due to Accidents (Including Animal Bites): Notification No.: 2153-F(MED), Date: 13.03.2013
  11. Rheumatoid Arthritis: Notification No.: 1126-F(MED)WB, Date: 17.09.2015
  12. Systematic Lupus Erythematosus (Lupus): Notification No.: 7287-F, Date: 19.09.2008
  13. Crohn’s Disease: Notification No.: 1126-F(MED)WB, Date: 17.09.2015
  14. Root Canal Treatment (Endodontic Treatment): Notification No.: 7287-F, Date: 19.09.2008
  15. Chronic Obstructive Pulmonary Disease (COPD): Notification No.: 52-F(MED)WB, Date: 21.06.2018
  16. Ankylosing Spondylitis: Notification No.: 105-F(MED)WB, Date: 31.10.2018
  17. Covid-19: Notification No.: 74-F(MED)WB, Date: 06.09.2019
Also Read: Renaming Renal Failure As Chronic Kidney Disease In OPD Treatment

Newly Included Neuropsychiatric Disorders Under WBHS OPD

  1. Neuropsychiatric Conditions
    • Notification No.: 23-F(MED)WB, Date: 16.02.2022
  • Sub-categories:
    • a) Bipolar Disorder
    • b) Major Depressive Disorder (MDD)
    • c) Schizophrenia
    • d) Obsessive-Compulsive Disorder (OCD)
    • e) Autism Spectrum Disorder (ASD)
    • f) Attention-Deficit Hyperactivity Disorder (ADHD)

Additional Guideline For Reimbursement

  • The cost of medications for Neuropsychiatric Conditions listed above is reimbursable under the West Bengal Health Scheme when prescribed by a certified Psychiatrist (MD or DPM).
  • Therapy costs are covered under the West Bengal Health Scheme if coded accordingly.
  • All other terms regarding medical attendance and OPD treatment in hospitals remain unchanged.
Also Read: Eye Treatment Nomenclature and Rates for Intravitreal Injections/Implants
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